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'''Recovered-memory therapy''' (RMT) is a term coined by affiliates of the [[False Memory Syndrome Foundation]] (FMSF) in the early 1990s,{{failed verification}}<ref name="whitfield56">{{cite book | title = Misinformation Concerning Child Sexual Abuse and Adult Survivors |last= Whitfield |first=CL |coauthors= Silberg JL; Fink PJ |pages= |publisher=[[Haworth Press]] |year=2001 |isbn=0-7890-1901-9}}; page 56.</ref><ref name="Salter">{{cite news | first = Stephanie | last = Salter | title = Feminist Treason and Intellectual Fascism | work = [[San Francisco Examiner]] |date=1993-04-07 | accessdate = 2007-12-15 |format = reprint}}</ref><ref name="underwager1">{{cite book | last = Underwager | first = Ralph | authorlink = Ralph Underwager | coauthors = Hollida Wakefield | title = Return of the Furies: An Investigation into Recovered Memory Therapy | year = 1994 | month = October | publisher = Open Court Pub Co | isbn = 978-0-8126-9271-6 | page = 360}}</ref> to refer what they described as a range of [[psychotherapy]] methods based on recalling memories of abuse that had previously been forgotten by the patient.<ref name="lief">
'''Recovered-memory therapy''' (RMT) is a term coined by affiliates of the [[False Memory Syndrome Foundation]] (FMSF) in the early 1990s,<ref name="whitfield56">{{cite book | title = Misinformation Concerning Child Sexual Abuse and Adult Survivors |last= Whitfield |first=CL |coauthors= Silberg JL; Fink PJ |pages= |publisher=[[Haworth Press]] |year=2001 |isbn=0-7890-1901-9}}; page 56.</ref><ref name="Salter">{{cite news | first = Stephanie | last = Salter | title = Feminist Treason and Intellectual Fascism | work = [[San Francisco Examiner]] |date=1993-04-07 | accessdate = 2007-12-15 |format = reprint}}</ref><ref name="underwager1">{{cite book | last = Underwager | first = Ralph | authorlink = Ralph Underwager | coauthors = Hollida Wakefield | title = Return of the Furies: An Investigation into Recovered Memory Therapy | year = 1994 | month = October | publisher = Open Court Pub Co | isbn = 978-0-8126-9271-6 | page = 360}}</ref> to refer what they described as a range of [[psychotherapy]] methods based on recalling memories of abuse that had previously been forgotten by the patient.<ref name="lief">
{{cite journal | last = Lief | first = Harold I | year = 1999 | month = November | title = Patients Versus Therapists: Legal Actions Over Recovered Memory Therapy | journal = Psychiatric Times | volume = XVI | issue = 11 | url = http://www.psychiatrictimes.com/p991136.html}}</ref> It does not refer to a specific, recognized treatment method, but rather several controversial and/or unproven interviewing techniques, such as [[hypnosis]] and the use of [[sedative-hypnotic]] drugs, which are presently rarely used in the responsible treatment of [[post-traumatic stress disorder]] and other [[Dissociative disorder|dissociative disorders]]. The term is not listed in [[Diagnostic and Statistical Manual of Mental Disorders|DSM-IV]] nor used by any extant professional associations.<ref name="whitfield56" />
{{cite journal | last = Lief | first = Harold I | year = 1999 | month = November | title = Patients Versus Therapists: Legal Actions Over Recovered Memory Therapy | journal = Psychiatric Times | volume = XVI | issue = 11 | url = http://www.psychiatrictimes.com/p991136.html}}</ref> It does not refer to a specific, recognized treatment method, but rather several controversial and/or unproven interviewing techniques, such as [[hypnosis]] and the use of [[sedative-hypnotic]] drugs, which are presently rarely used in the responsible treatment of [[post-traumatic stress disorder]] and other [[Dissociative disorder|dissociative disorders]]—conditions which most commonly lead to loss of traumatic memories.<ref name=mental-health-today_treatment_of_ptsd>{{cite web | title = Treatment of PTSD | url = http://www.mental-health-today.com/ptsd/treatment.htm }}</ref> The term is not listed in [[Diagnostic and Statistical Manual of Mental Disorders|DSM-IV]] or used by any mainstream [[Psychotherapy#Specific schools and approaches|formal psychotherapy modality]].<ref name="whitfield56" />


== Terminology ==
== Terminology ==
The term ''recovered memory therapy'' was coined between 1992 and 1993 by the [[False Memory Syndrome Foundation]].{{citation needed}} The FMSF, an organization that advocates on behalf of individuals who claim they have been falsely accused of perpetrating [[child sexual abuse]],<ref name="Dallam">{{cite journal | title = Crisis or Creation: A Systematic Examination of 'False Memory Syndrome' |last=Dallam |first=Stephanie J. |journal=Journal of Child Sexual Abuse |publisher=Haworth Press |volume= 9| issue = 3/4, pp. 9–36 |year=2001}}</ref> hypothesized that RMT can result in patients recalling instances of sexual abuse from their childhood that may not have actually occurred.<ref name="whitfield56" /> While not a therapeutic technique in and of itself, RMT generally is applied to such methods as hypnosis, age regression, drug-assisted interviewing (using substances such as [[sodium amytal]]), and guided visualization.<ref name=PsychLaw>{{cite book |author=Greene, Edith; Wrightsman, Lawrence S.; Nietzel, Michael T.; Fortune, William H. | title = Psychology and the legal system |publisher=Wadsworth/Thomson Learning |location=Belmont, CA |year=2002 |pages= |isbn=0-534-36544-2 |oclc= |doi= |accessdate=}}</ref> It should be noted that while practiced by some individual therapists, these techniques were never recognized by the psychiatric or psychological community, and are generally not practiced in mainstream treatment modalities.{{verification failed}}<ref name=WorldPsych>{{cite book |author=Wood, Ellen Meiksins; Wood, Samuel H. | title = The World of Psychology |publisher=Allyn & Bacon |location=Boston, Mass |year=1999 |pages= |isbn=0-205-29329-8 |oclc= |doi= |accessdate=}}</ref>
The term ''recovered memory therapy'' was coined between 1992 and 1993 by the [[False Memory Syndrome Foundation]]. The FMSF, an organization that advocates on behalf of individuals who claim they have been falsely accused of perpetrating [[child sexual abuse]],<ref name="Dallam">{{cite journal | title = Crisis or Creation: A Systematic Examination of 'False Memory Syndrome' |last=Dallam |first=Stephanie J. |journal=Journal of Child Sexual Abuse |publisher=Haworth Press |volume= 9| issue = 3/4, pp. 9–36 |year=2001}}</ref> hypothesized that RMT can result in patients recalling instances of sexual abuse from their childhood that may not have actually occurred.<ref name="whitfield56" /> While not a therapeutic technique in and of itself, RMT generally is applied to such methods as hypnosis, age regression, drug-assisted interviewing (using substances such as [[sodium amytal]]), and guided visualization.<ref name=PsychLaw>{{cite book |author=Greene, Edith; Wrightsman, Lawrence S.; Nietzel, Michael T.; Fortune, William H. | title = Psychology and the legal system |publisher=Wadsworth/Thomson Learning |location=Belmont, CA |year=2002 |pages= |isbn=0-534-36544-2 |oclc= |doi= |accessdate=}}</ref> It should be noted that while practiced by some individual therapists, these techniques were never recognized by the psychiatric or psychological community, and are generally not practiced in mainstream treatment modalities.<ref name=WorldPsych>{{cite book |author=Wood, Ellen Meiksins; Wood, Samuel H. | title = The World of Psychology |publisher=Allyn & Bacon |location=Boston, Mass |year=1999 |pages= |isbn=0-205-29329-8 |oclc= |doi= |accessdate=}}</ref>


The term RMT has been called a [[reactionary]] construct used by activists affiliated with the False Memory Syndrome Foundation as a way to contest the efficacy of the [[Psychological trauma|trauma]] model of [[psychopathology]].{{failed verification}}<ref name= Whitfield>{{cite book | last = Whitfield M.D. | first = Charles L. |title = Memory and Abuse – Remembering and Healing the Effects of Trauma | publisher = Health Communications, Inc | year = 1995 | location = Deerfield Beach, FL |isbn=1-55874-320-0 | url = http://books.google.com/?id=z1LW3u1e04YC&dq=whitfield+memory+and+abuse&pg=PP1&q=Whitfield+Memory+and+Abuse |page = 313| contribution= Christine Courtois}}</ref> An inquiry into the practice by the [[Australia]]n government found little support for or use of memory recovery therapies from health professionals.<ref>{{cite web | url = http://www.health.vic.gov.au/hsc/downloads/final_rmt_inquiry.pdf | format = PDF | year = 2005 | title = Inquiry into the practice of recovered memory therapy | author = Australian Health Services Commissioner | publisher = Office of the Health Services Commissioner | accessdate = 2008-01-31}}</ref> [[Scientific American]] published an article critical of recovered memory therapy and [[dissociative identity disorder]] diagnosis, especially in relation to the [[Satanic ritual abuse]] [[moral panic]].<ref>{{cite web | first = K | last = Lambert | coauthors = Lilienfeld SO | url = http://www.sciam.com/article.cfm?chanID=sa006&articleID=4338D296-E7F2-99DF-3D7F5370B4FB5D10 | publisher = Scientific American | title = Brain Stains | date = 2007-10-01 | accessdate = 2008-01-25}}</ref> In a letter to the publication, the [[International Society for the Study of Trauma and Dissociation]] criticized the article for implying that there was a coherent method called 'recovered memory therapy' and disputed its critical view of dissociative disorders.<ref>{{cite web |author = Executive Council, International Society for the Study of Trauma and Dissociation |date = 2007-11-30 | title = Letter to Scientific American, Inc. Editor and Chief | accessdate = 2008-01-08 | url = http://www.isst-d.org/education/sciamerican-ltr.pdf | format = PDF }}</ref> Despite the lack of such a coherent method or training—the term sometimes crops up not only in the popular press but also in government inquiries, court proceedings, and position statements from psychologists' professional associations.<ref name="HC">{{cite book | title = Disputed memories | publisher = Health Council of the Netherlands | location = The Hague | date = 2004-01-27 | edition = 2004/02 | isbn = 905545123 | url = http://www.gr.nl/samenvatting.php?ID=888 | accessdate = 2008-05-16 }}</ref><ref name="parliament.nsw.gov.au">{{cite web|url=http://www.parliament.nsw.gov.au/prod/parlment/hansart.nsf/V3Key/LA19951122023 |title=Legislative Assembly, 22 November 1995, Full Day Hansard Transcript, Hansard |publisher=Parliament.nsw.gov.au |date=1995-11-22 |accessdate=2010-12-14}}</ref><ref name="aca_newsletter">[http://www.theaca.net.au/journals/ca_archive/ACA%20Mag%20Vol4%20No3%20Spring%2004.pdf ACA Newsletter Spring 2004 Draft position statement on RMT page 109]{{dead link|date=December 2010}}</ref>
The term RMT has been called a [[reactionary]] construct used by activists affiliated with the False Memory Syndrome Foundation as a way to contest the efficacy of the [[Psychological trauma|trauma]] model of [[psychopathology]].<ref name= Whitfield>{{cite book | last = Whitfield M.D. | first = Charles L. |title = Memory and Abuse – Remembering and Healing the Effects of Trauma | publisher = Health Communications, Inc | year = 1995 | location = Deerfield Beach, FL |isbn=1-55874-320-0 | url = http://books.google.com/?id=z1LW3u1e04YC&dq=whitfield+memory+and+abuse&pg=PP1&q=Whitfield+Memory+and+Abuse |page = 313| contribution= Christine Courtois}}</ref> An inquiry into the practice by the [[Australia]]n government found little support for or use of RMT from health professionals; rather the term was created by associations for political use.<ref>{{cite web | url = http://www.health.vic.gov.au/hsc/downloads/final_rmt_inquiry.pdf | format = PDF | year = 2005 | title = Inquiry into the practice of recovered memory therapy | author = Australian Health Services Commissioner | publisher = Office of the Health Services Commissioner | accessdate = 2008-01-31}}</ref> In October, 2007, [[Scientific American]] published an article critical of RMT.<ref>{{cite web | first = K | last = Lambert | coauthors = Lilienfeld SO | url = http://www.sciam.com/article.cfm?chanID=sa006&articleID=4338D296-E7F2-99DF-3D7F5370B4FB5D10 | publisher = Scientific American | title = Brain Stains | date = 2007-10-01 | accessdate = 2008-01-25}}</ref> In a letter to the publication, the [[International Society for the Study of Trauma and Dissociation]] criticized the article for erroneously presenting the idea that there was a coherent method or training for something called 'recovered memory therapy.'<ref>{{cite web |author = Executive Council, International Society for the Study of Trauma and Dissociation |date = 2007-11-30 | title = Letter to Scientific American, Inc. Editor and Chief | accessdate = 2008-01-08 | url = http://www.isst-d.org/education/sciamerican-ltr.pdf | format = PDF }}</ref> Despite the lack of such a coherent method or training—the term sometimes crops up not only in the popular press but also in government inquiries, court proceedings, and position statements from psychologists' professional associations.<ref name="HC">{{cite book | title = Disputed memories | publisher = Health Council of the Netherlands | location = The Hague | date = 2004-01-27 | edition = 2004/02 | isbn = 905545123 | url = http://www.gr.nl/samenvatting.php?ID=888 | accessdate = 2008-05-16 }}</ref><ref name="parliament.nsw.gov.au">{{cite web|url=http://www.parliament.nsw.gov.au/prod/parlment/hansart.nsf/V3Key/LA19951122023 |title=Legislative Assembly, 22 November 1995, Full Day Hansard Transcript, Hansard |publisher=Parliament.nsw.gov.au |date=1995-11-22 |accessdate=2010-12-14}}</ref><ref name="aca_newsletter">[http://www.theaca.net.au/journals/ca_archive/ACA%20Mag%20Vol4%20No3%20Spring%2004.pdf ACA Newsletter Spring 2004 Draft position statement on RMT page 109]{{dead link|date=December 2010}}</ref>


== Research ==
== Research ==
A range of studies have concluded that at least 10% of physical and sexual abuse victims forget the abuse.<ref ="widom2">{{cite journal | last = Widom | first = Cathy Spatz | coauthors = Morris, Suzanne | year = 1997 | month = March | title = Accuracy of Adult Recollections of Childhood Victimization: Part 2. Childhood Sexual Abuse. | journal = Psychological Assessment | volume = 9 | issue = 1 | pages = 34–46 | publisher = American Psychological Association | location = Washington, DC, US | id = EJ545434 | url = http://www.eric.ed.gov/ERICWebPortal/Home.portal?_nfpb=true&ERICExtSearch_SearchValue_0=EJ545434&searchtype=keyword&ERICExtSearch_SearchType_0=no&_pageLabel=RecordDetails&objectId=0900019b801126a6&accno=EJ545434&_nfls=false | accessdate = 2007-12-18 | doi = 10.1037/1040-3590.9.1.34}}</ref><ref name="sheflin"><!-- This study showed 38% based upon criminal records http://books.google.com/books?id=qBSuIMgJLNYC&pg=PA147&vq=sheflin&dq=sheflin+brown+1996+amnesia+%22Repressed+memory+or+dissociative%22&lr=&sig=zCjaGFdaY_qCcNmZtJwFsQRd4YY
A range of studies have concluded that at least 10% of physical and sexual abuse victims forget the abuse.<ref ="widom2">{{cite journal | last = Widom | first = Cathy Spatz | coauthors = Morris, Suzanne | year = 1997 | month = March | title = Accuracy of Adult Recollections of Childhood Victimization: Part 2. Childhood Sexual Abuse. | journal = Psychological Assessment | volume = 9 | issue = 1 | pages = 34–46 | publisher = American Psychological Association | location = Washington, DC, US | id = EJ545434 | url = http://www.eric.ed.gov/ERICWebPortal/Home.portal?_nfpb=true&ERICExtSearch_SearchValue_0=EJ545434&searchtype=keyword&ERICExtSearch_SearchType_0=no&_pageLabel=RecordDetails&objectId=0900019b801126a6&accno=EJ545434&_nfls=false | accessdate = 2007-12-18 | doi = 10.1037/1040-3590.9.1.34}}</ref><ref name="sheflin"><!-- This study showed 38% based upon criminal records http://books.google.com/books?id=qBSuIMgJLNYC&pg=PA147&vq=sheflin&dq=sheflin+brown+1996+amnesia+%22Repressed+memory+or+dissociative%22&lr=&sig=zCjaGFdaY_qCcNmZtJwFsQRd4YY
-->{{cite journal | last = Sheflin | first = Alan W | coauthors = Brown, Daniel |year=1996 | title = Repressed Memory or Dissociative Amnesia: What the Science Says. | journal = Journal of Psychiatry & Law | volume = 24 | issue = Summer | pages = 143–88 | issn = 0093-1853 | accessdate = 2007-12-18}}</ref><ref name="widom1">{{cite journal | last = Widom | first = Cathy Spatz | coauthors = Shepard, Robin L. | year = 1996 | month = December | title = Accuracy of adult recollections of childhood victimization : Part 1. Childhood physical abuse | journal = Psychological Assessment | volume = 8 | issue = 4 | pages = 412–21 | publisher = American Psychological Association | location = Washington, DC, US | id = EJ542113 | url = http://www.eric.ed.gov/ERICWebPortal/custom/portlets/recordDetails/detailmini.jsp?_nfpb=true&_&ERICExtSearch_SearchValue_0=EJ542113&ERICExtSearch_SearchType_0=no&accno=EJ542113 | accessdate = 2007-12-18 | doi = 10.1037/1040-3590.8.4.412}}</ref> The rate of delayed recall of many forms of traumatic experiences (including natural disasters, kidnapping, torture and more) averages among studies at approximately 15%, with the highest rates resulting from [[child sexual abuse]], military combat, and witnessing a family member murdered.<ref name=kolk1997>{{cite journal |url=http://www.psychiatrictimes.com/display/article/10168/1158311 | title = Posttraumatic Stress Disorder and Memory |last=van der Kolk, M.D. |first=Bessel |journal=Psychiatric Times. |volume= 14| issue = 3 |date=March 1, 1997}}</ref> The rate of recall of previously forgotten traumatic events was shown by Elliot and Briere (1996) to be unaffected by whether or not the victim had a history of being in psychotherapy.<ref name=kolk1997/> Williams found that among women with confirmed histories of sexual abuse, approximately 38% did not recall the abuse 17 years later, especially when it was perpetrated by a someone familiar to them.<ref name=Williams/> Hopper cites several studies of corroborated abuse in which some abuse victims will have intervals of complete or partial amnesia for their abuse.<ref name="hopper">{{cite web | url=http://www.jimhopper.com/memory | title = Recovered Memories of Sexual Abuse Scientific Research & Scholarly Resources | last = Hopper | first = Jim | accessdate = 2007-12-15}}</ref> Conflicting peer reviewed, clinical studies have both supported and rejected the validity existence of therapeutically recovered memory. One list cites 43 legal cases where an individual whose claim to have recovered a repressed memory has been accepted by a court.{{citation needed}}
-->{{cite journal | last = Sheflin | first = Alan W | coauthors = Brown, Daniel |year=1996 | title = Repressed Memory or Dissociative Amnesia: What the Science Says. | journal = Journal of Psychiatry & Law | volume = 24 | issue = Summer | pages = 143–88 | issn = 0093-1853 | accessdate = 2007-12-18}}</ref><ref name="widom1">{{cite journal | last = Widom | first = Cathy Spatz | coauthors = Shepard, Robin L. | year = 1996 | month = December | title = Accuracy of adult recollections of childhood victimization : Part 1. Childhood physical abuse | journal = Psychological Assessment | volume = 8 | issue = 4 | pages = 412–21 | publisher = American Psychological Association | location = Washington, DC, US | id = EJ542113 | url = http://www.eric.ed.gov/ERICWebPortal/custom/portlets/recordDetails/detailmini.jsp?_nfpb=true&_&ERICExtSearch_SearchValue_0=EJ542113&ERICExtSearch_SearchType_0=no&accno=EJ542113 | accessdate = 2007-12-18 | doi = 10.1037/1040-3590.8.4.412}}</ref> The rate of delayed recall of many forms of traumatic experiences (including natural disasters, kidnapping, torture and more) averages among studies at approximately 15%, with the highest rates resulting from [[child sexual abuse]], military combat, and witnessing a family member murdered.<ref name=kolk1997>{{cite journal |url=http://www.psychiatrictimes.com/display/article/10168/1158311 | title = Posttraumatic Stress Disorder and Memory |last=van der Kolk, M.D. |first=Bessel |journal=Psychiatric Times. |volume= 14| issue = 3 |date=March 1, 1997}}</ref> The rate of recall of previously forgotten traumatic events was shown by Elliot and Briere (1996) to be unaffected by whether or not the victim had a history of being in psychotherapy.<ref name=kolk1997/> Williams found that among women with confirmed histories of sexual abuse, approximately 38% did not recall the abuse 17 years later, especially when it was perpetrated by a someone familiar to them.<ref name=Williams/> Hopper cites several studies of corroborated abuse in which some abuse victims will have intervals of complete or partial amnesia for their abuse.<ref name="hopper">{{cite web | url=http://www.jimhopper.com/memory | title = Recovered Memories of Sexual Abuse Scientific Research & Scholarly Resources | last = Hopper | first = Jim | accessdate = 2007-12-15}}</ref> Peer reviewed and clinical studies have documented the existence of recovered memory, one list cites 43 legal cases where an individual whose claim to have recovered a repressed memory has been accepted by a court.<ref name="recovmem">{{cite web | url = http://www.brown.edu/Departments/Taubman_Center/Recovmem | title = Recovered Memory Project | accessdate = 2007-12-15 | publisher = Taubman Center for Public Policy & American Institutions at Brown University}}</ref>


A 1996 interview survey of 711 women reported that forgetting and later remembering childhood sexual abuse is not uncommon; more than a quarter of the respondents who reported abuse also reported forgetting the abuse for some period of time and then recalling it on their own. Of those who reported abuse, less than 2% reported that the recall of the abuse was assisted by a therapist or other professional.<ref name= Wilsnack>{{cite journal | title = Self-reports of forgetting and remembering childhood sexual abuse in a nationally representative sample of US women |url=http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6V7N-45KNBKP-3&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_version=1&_urlVersion=0&_userid=10&md5=fc327a6c0117b41c426efb93f235defe |journal=Child Abuse & Neglect |volume= 26| issue = 2, February 2002, Pages 139–147 |author=Sharon C. Wilsnack, Stephen A. Wonderlich, Arlinda F. Kristjanson, Nancy D. Vogeltanz-Holm, Richard W. Wilsnack |doi=10.1016/S0145-2134(01)00313-1}}</ref>
A 1996 interview survey of 711 women reported that forgetting and later remembering childhood sexual abuse is not uncommon; more than a quarter of the respondents who reported abuse also reported forgetting the abuse for some period of time and then recalling it on their own. Of those who reported abuse, less than 2% reported that the recall of the abuse was assisted by a therapist or other professional.<ref name= Wilsnack>{{cite journal | title = Self-reports of forgetting and remembering childhood sexual abuse in a nationally representative sample of US women |url=http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6V7N-45KNBKP-3&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_version=1&_urlVersion=0&_userid=10&md5=fc327a6c0117b41c426efb93f235defe |journal=Child Abuse & Neglect |volume= 26| issue = 2, February 2002, Pages 139–147 |author=Sharon C. Wilsnack, Stephen A. Wonderlich, Arlinda F. Kristjanson, Nancy D. Vogeltanz-Holm, Richard W. Wilsnack |doi=10.1016/S0145-2134(01)00313-1}}</ref>

Revision as of 13:30, 19 May 2012

Recovered-memory therapy (RMT) is a term coined by affiliates of the False Memory Syndrome Foundation (FMSF) in the early 1990s,[1][2][3] to refer what they described as a range of psychotherapy methods based on recalling memories of abuse that had previously been forgotten by the patient.[4] It does not refer to a specific, recognized treatment method, but rather several controversial and/or unproven interviewing techniques, such as hypnosis and the use of sedative-hypnotic drugs, which are presently rarely used in the responsible treatment of post-traumatic stress disorder and other dissociative disorders—conditions which most commonly lead to loss of traumatic memories.[5] The term is not listed in DSM-IV or used by any mainstream formal psychotherapy modality.[1]

Terminology

The term recovered memory therapy was coined between 1992 and 1993 by the False Memory Syndrome Foundation. The FMSF, an organization that advocates on behalf of individuals who claim they have been falsely accused of perpetrating child sexual abuse,[6] hypothesized that RMT can result in patients recalling instances of sexual abuse from their childhood that may not have actually occurred.[1] While not a therapeutic technique in and of itself, RMT generally is applied to such methods as hypnosis, age regression, drug-assisted interviewing (using substances such as sodium amytal), and guided visualization.[7] It should be noted that while practiced by some individual therapists, these techniques were never recognized by the psychiatric or psychological community, and are generally not practiced in mainstream treatment modalities.[8]

The term RMT has been called a reactionary construct used by activists affiliated with the False Memory Syndrome Foundation as a way to contest the efficacy of the trauma model of psychopathology.[9] An inquiry into the practice by the Australian government found little support for or use of RMT from health professionals; rather the term was created by associations for political use.[10] In October, 2007, Scientific American published an article critical of RMT.[11] In a letter to the publication, the International Society for the Study of Trauma and Dissociation criticized the article for erroneously presenting the idea that there was a coherent method or training for something called 'recovered memory therapy.'[12] Despite the lack of such a coherent method or training—the term sometimes crops up not only in the popular press but also in government inquiries, court proceedings, and position statements from psychologists' professional associations.[13][14][15]

Research

A range of studies have concluded that at least 10% of physical and sexual abuse victims forget the abuse.[16][17][18] The rate of delayed recall of many forms of traumatic experiences (including natural disasters, kidnapping, torture and more) averages among studies at approximately 15%, with the highest rates resulting from child sexual abuse, military combat, and witnessing a family member murdered.[19] The rate of recall of previously forgotten traumatic events was shown by Elliot and Briere (1996) to be unaffected by whether or not the victim had a history of being in psychotherapy.[19] Williams found that among women with confirmed histories of sexual abuse, approximately 38% did not recall the abuse 17 years later, especially when it was perpetrated by a someone familiar to them.[20] Hopper cites several studies of corroborated abuse in which some abuse victims will have intervals of complete or partial amnesia for their abuse.[21] Peer reviewed and clinical studies have documented the existence of recovered memory, one list cites 43 legal cases where an individual whose claim to have recovered a repressed memory has been accepted by a court.[22]

A 1996 interview survey of 711 women reported that forgetting and later remembering childhood sexual abuse is not uncommon; more than a quarter of the respondents who reported abuse also reported forgetting the abuse for some period of time and then recalling it on their own. Of those who reported abuse, less than 2% reported that the recall of the abuse was assisted by a therapist or other professional.[23]

A review article on potentially harmful therapies listed RMT as a treatment that will probably produce harm in some who receive it.[24] Richard Ofshe, a member of the advisory board to the FMSF, describes the practice of "recovering" memories as fraudulent and dangerous.[25]

Studies by Elizabeth Loftus and others have concluded that it is possible to produce false memories of childhood incidents.[26] The experiments involved manipulating subjects into believing that they had some fictitious experience in childhood, such as being lost in a shopping mall at age 6. This involved using a suggestive technique called "familial informant false narrative procedure," in which the experimenter claims the validity of the false event is supported by a family member of the subject. The study has been used to support the theory that false memories of traumatic sexual abuse can be implanted in a patient by therapists. However, the techniques used in these studies do not resemble any approved or mainstream treatment modality,[27] and there are criticisms that the implanted events used are not emotionally comparable to sexual abuse.[20][28] Further, the false memories were successfully created only 30% of the time across multiple studies.[26] Critics contend that Loftus's conclusions overreach the evidence.[20][27]

Some patients later retract memories they had previously believed to be recovered. Whilst false or contrived memories are possible reasons for such retractions, other explanations suggested for the retraction of allegations of abuse made by children and adults include guilt, a feeling of obligation to protect their family and a reaction to familial stress rather than a genuine belief that their memories are false.[29] The number of retractions is reported to be small compared to the actual number of child sexual abuse allegations made based on recovered memories.[9]

A study at the Dissociative Disorders and Trauma Program of the McLean Hospital concluded that that recovered memories are mostly unconnected to psychotherapeutic treatment and that memories are often corroborated by independent evidence, often appearing while home or with family and friends, with suggestion being generally denied as a factor in recovering memories.[30] Very few participants were in therapy during their first memory recovery and a majority of participants in this study found strong corroboration of their recovered memories.[30]

Professional guidelines

There are several individuals and groups that have published guidelines, criticisms or cautions about recovered memory therapy and techniques to stimulate recall:

  • In the Brandon Report, a set of training, practice, research and professional development recommendations, the United Kingdom's Royal College of Psychiatrists advised psychiatrists to avoid use of RMT or any "memory recovery techniques", citing a lack of evidence to support the accuracy of memories recovered in this way.[31]
  • In 2004, the government of the Health Council of the Netherlands issued a report in response to inquiries from professionals regarding RMT and memories of traumatic child sexual abuse.[13] The Health Council stated that while traumatic childhood experiences were major risk factors for psychological problems in adulthood, most traumatic memories are well remembered but can be forgotten or become inaccessible though the influence of specific circumstances precludes a simple description of the relationship between memory and trauma. The report also notes that memories can be confabulated, re-interpreted and even apparently vivid or dramatic memories can be false, a risk that is increased when therapists use suggestive techniques, attempt to link symptoms to past trauma, with certain patients and through the use of methods to stimulate memories.[13]
  • The Australian Hypnotherapists Association (AHA) issued a similar statement, for contexts where false memories of child sexual abuse may arise. The AHA acknowledges that child sexual abuse is serious, damaging and at least some memories are genuine, while cautioning that some questioning techniques and interventions may lead to illusory memories leading to false beliefs about abuse.[32]
  • The Canadian Psychological Association has issued guidelines for psychologists addressing recovered memories.[33] Psychologists are urged to be aware of their limitations in knowledge and training regarding memory, trauma and development and "that there is no constellation of symptoms which is diagnostic of child sexual abuse". The guidelines also urge caution and awareness of the benefits and limitations of "relaxation, hypnosis, guided imagery, free associations, inner child exercises, age regression, body memory interpretation, body massage, dream interpretation, and the use of projective techniques" and special caution regarding any legal involvement of memories, abuse and therapy.

In Ramona v. Isabella, George Ramona sued his daughter's therapist for implanting false memories of his abuse of her. In the first case putting recovered memory therapy, itself, on trial, he eventually was awarded $500,000 in 1994.[34]

Discussing RMT in parliament in 1995, an Australian state Minister for Health, Dr Andrew Refshauge – a former medical practitioner – stated that the general issue of admissibility of evidence based on recovered memories was one for the Attorney General.[14] In 2004 Australian Counseling Association issued a draft position statement regarding recovered memories in which they informed their membership of possible legal difficulties if they affirm accusations as true based solely upon discussion of a patient's recovered memories without adequate corroborating evidence.[15]

A degree of controversy does remain within legal circles, with some holding the view that therapists and courts should consider repressed memories the same as they consider regular memories. Three relevant studies state that repressed memories are "no more and no less accurate than continuous memories." [35][36]

Recovered memory therapy was an issue in the criminal trials of some Catholic priests accused of fondling or sexually assaulting juvenile-turned-adult parishioners.[37][38]

Several court cases awarded multi-million dollar verdicts against Minnesota psychiatrist Diane Bay Humenansky, who used hypnosis and other suggestive techniques associated with RMT, resulting in accusations by several patients against family members, that were later found to be false.[39][40][41]

In the UK, a woman who said she had falsely accused her father of rape successfully sued the hospital and psychologist who had treated her with what she described as a form of RMT and was awarded a large out-of-court settlement.[42]

See also

References

  1. ^ a b c Whitfield, CL (2001). Misinformation Concerning Child Sexual Abuse and Adult Survivors. Haworth Press. ISBN 0-7890-1901-9. {{cite book}}: Unknown parameter |coauthors= ignored (|author= suggested) (help); page 56.
  2. ^ Salter, Stephanie (1993-04-07). "Feminist Treason and Intellectual Fascism". San Francisco Examiner. {{cite news}}: |access-date= requires |url= (help); |format= requires |url= (help)
  3. ^ Underwager, Ralph (1994). Return of the Furies: An Investigation into Recovered Memory Therapy. Open Court Pub Co. p. 360. ISBN 978-0-8126-9271-6. {{cite book}}: Unknown parameter |coauthors= ignored (|author= suggested) (help); Unknown parameter |month= ignored (help)
  4. ^ Lief, Harold I (1999). "Patients Versus Therapists: Legal Actions Over Recovered Memory Therapy". Psychiatric Times. XVI (11). {{cite journal}}: Unknown parameter |month= ignored (help)
  5. ^ "Treatment of PTSD".
  6. ^ Dallam, Stephanie J. (2001). "Crisis or Creation: A Systematic Examination of 'False Memory Syndrome'". Journal of Child Sexual Abuse. 9 (3/4, pp. 9–36). Haworth Press.
  7. ^ Greene, Edith; Wrightsman, Lawrence S.; Nietzel, Michael T.; Fortune, William H. (2002). Psychology and the legal system. Belmont, CA: Wadsworth/Thomson Learning. ISBN 0-534-36544-2.{{cite book}}: CS1 maint: multiple names: authors list (link)
  8. ^ Wood, Ellen Meiksins; Wood, Samuel H. (1999). The World of Psychology. Boston, Mass: Allyn & Bacon. ISBN 0-205-29329-8.{{cite book}}: CS1 maint: multiple names: authors list (link)
  9. ^ a b Whitfield M.D., Charles L. (1995). "Christine Courtois". Memory and Abuse – Remembering and Healing the Effects of Trauma. Deerfield Beach, FL: Health Communications, Inc. p. 313. ISBN 1-55874-320-0.
  10. ^ Australian Health Services Commissioner (2005). "Inquiry into the practice of recovered memory therapy" (PDF). Office of the Health Services Commissioner. Retrieved 2008-01-31.
  11. ^ Lambert, K (2007-10-01). "Brain Stains". Scientific American. Retrieved 2008-01-25. {{cite web}}: Unknown parameter |coauthors= ignored (|author= suggested) (help)
  12. ^ Executive Council, International Society for the Study of Trauma and Dissociation (2007-11-30). "Letter to Scientific American, Inc. Editor and Chief" (PDF). Retrieved 2008-01-08.
  13. ^ a b c Disputed memories (2004/02 ed.). The Hague: Health Council of the Netherlands. 2004-01-27. ISBN 905545123. Retrieved 2008-05-16. {{cite book}}: Check |isbn= value: length (help)
  14. ^ a b "Legislative Assembly, 22 November 1995, Full Day Hansard Transcript, Hansard". Parliament.nsw.gov.au. 1995-11-22. Retrieved 2010-12-14.
  15. ^ a b ACA Newsletter Spring 2004 Draft position statement on RMT page 109[dead link]
  16. ^ Widom, Cathy Spatz (1997). "Accuracy of Adult Recollections of Childhood Victimization: Part 2. Childhood Sexual Abuse". Psychological Assessment. 9 (1). Washington, DC, US: American Psychological Association: 34–46. doi:10.1037/1040-3590.9.1.34. EJ545434. Retrieved 2007-12-18. {{cite journal}}: Unknown parameter |coauthors= ignored (|author= suggested) (help); Unknown parameter |month= ignored (help)
  17. ^ Sheflin, Alan W (1996). "Repressed Memory or Dissociative Amnesia: What the Science Says". Journal of Psychiatry & Law. 24 (Summer): 143–88. ISSN 0093-1853. {{cite journal}}: |access-date= requires |url= (help); Unknown parameter |coauthors= ignored (|author= suggested) (help)
  18. ^ Widom, Cathy Spatz (1996). "Accuracy of adult recollections of childhood victimization : Part 1. Childhood physical abuse". Psychological Assessment. 8 (4). Washington, DC, US: American Psychological Association: 412–21. doi:10.1037/1040-3590.8.4.412. EJ542113. Retrieved 2007-12-18. {{cite journal}}: Unknown parameter |coauthors= ignored (|author= suggested) (help); Unknown parameter |month= ignored (help)
  19. ^ a b van der Kolk, M.D., Bessel (March 1, 1997). "Posttraumatic Stress Disorder and Memory". Psychiatric Times. 14 (3).
  20. ^ a b c Williams LM (1994). "Recall of childhood trauma: a prospective study of women's memories of child sexual abuse". J Consult Clin Psychol. 62 (6): 1167–76. doi:10.1037/0022-006X.62.6.1167. PMID 7860814. {{cite journal}}: Unknown parameter |month= ignored (help)
  21. ^ Hopper, Jim. "Recovered Memories of Sexual Abuse Scientific Research & Scholarly Resources". Retrieved 2007-12-15.
  22. ^ "Recovered Memory Project". Taubman Center for Public Policy & American Institutions at Brown University. Retrieved 2007-12-15.
  23. ^ Sharon C. Wilsnack, Stephen A. Wonderlich, Arlinda F. Kristjanson, Nancy D. Vogeltanz-Holm, Richard W. Wilsnack. "Self-reports of forgetting and remembering childhood sexual abuse in a nationally representative sample of US women". Child Abuse & Neglect. 26 (2, February 2002, Pages 139–147). doi:10.1016/S0145-2134(01)00313-1.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  24. ^ Lilienfeld, SO (2007). "Psychological Treatments That Cause Harm". Perspectives on Psychological Science. 2 (1): 53–70. doi:10.1111/j.1745-6916.2007.00029.x. Retrieved 2008-05-16. [dead link]
  25. ^ Ofshe, Richard (1994). Making Monsters: False Memories, Psychotherapy, and Sexual Hysteria. Charles Scribner's. ISBN 0-684-19698-0. {{cite book}}: Unknown parameter |coauthors= ignored (|author= suggested) (help)
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  27. ^ a b Pope, KS (1998). "Pseudoscience, Cross-examination, and Scientific Evidence in the Recovered Memory Controversy". Psychology, Public Policy, and Law. 4 (#4). American Psychological Association: 1160–1181. doi:10.1037/1076-8971.4.4.1160.
  28. ^ Rogers, Richard (2008). Clinical Assessment of Malingering and Deception, Third Edition. New York: The Guilford Press. ISBN 1-59385-699-7.
  29. ^ Summit, R. (1983). "The child sexual abuse accommodation syndrome". Child Abuse & Neglect. 7 (2): 177–193. doi:10.1016/0145-2134(83)90070-4. {{cite journal}}: Cite has empty unknown parameter: |month= (help)
  30. ^ a b Chu, J (1999). "Memories of childhood abuse: dissociation, amnesia, and corroboration". American Journal of Psychiatry. 156 (5): 749–55. PMID 10327909. {{cite journal}}: |access-date= requires |url= (help); Unknown parameter |coauthors= ignored (|author= suggested) (help); Unknown parameter |month= ignored (help)
  31. ^ Brandon, S. (1997). "Reported recovered memories of child sexual abuse: Recommendations for good practice and implications for training, continuing professional development and research". Psychiatric Bulletin. 21 (10): 663–665. doi:10.1192/pb.21.10.663. {{cite journal}}: Unknown parameter |coauthors= ignored (|author= suggested) (help)
  32. ^ "Australian Hypnotherapists Association Code of Ethics: Guidelines for AHA Members working with clients in contexts in which issues related to false memories of childhood sexual abuse may arise" (PDF). Australian Hypnotherapists Association. Archived from the original (PDF) on August 30, 2007. Retrieved 2008-05-16.
  33. ^ Ogloff, JRP (1996). Guidelines for psychologists addressing recovered memories (PDF). Canadian Psychological Association. ISBN 1-896538-38-X. Retrieved 2008-05-16.
  34. ^ Jeffrey A. Mullins (1996). "Has Time Rewritten Every Line?: Recovered-Memory Therapy and the Potential Expansion of Psychotherapist Liability". Washington and Lee Law Review. 53 (2): 763–802. Retrieved 2011-10-21.
  35. ^ "Ground Lost: The False Memory/Recovered Memory Therapy Debate, by Alan Scheflin, Psychiatric Times 11/99, Vol. XVI Issue 11". Psychiatrictimes.com. Retrieved 2010-12-14.
  36. ^ Richard A. Leo (1997). "The Social and Legal Construction of Repressed Memory". Law & Social Inquiry. 22 (3): 653–693. Retrieved 2012-4-8. {{cite journal}}: Check date values in: |accessdate= (help)
  37. ^ Martin Gardner (2006). "The Memory Wars, Part 1". Skeptical Inquirer Magazine. 30 (1). {{cite journal}}: Unknown parameter |month= ignored (help) [dead link]
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  39. ^ Gustafson, Paul. Jury awards patient $2.6 million: Verdict finds therapist Humenansky liable in repressed memory trial. Minneapolis St. Paul Tribune, August 1, 1995.
  40. ^ Pam Belluck (November 6, 1997). "Memory Therapy Leads to a Lawsuit and Big Settlement". The New York Times. Retrieved December 26, 2007.
  41. ^ Guthrey, M. and Kaplan, T., 2nd Patient Wins Against Psychiatrist: Accusation of planting memories brings multi-million dollar verdict. St. Paul Pioneer Press, Jan. 25, 1996, 4B.
  42. ^ "£20,000 payout for woman who falsely accused her father of rape after 'recovered memory' therapy Daily Mail UK 2007". Dailymail.co.uk. 2007-10-20. {{cite web}}: |access-date= requires |url= (help); Missing or empty |url= (help)

Further reading

  • Freyd, Jennifer J. (1996). Betrayal Trauma – The Logic of Forgetting Childhood Abuse. Cambridge, MA: Harvard University Press. ISBN 0-674-06805-X.
  • Ofshe, Richard and Watters, Ethan. "Making Monsters: False Memories, Psychotherapy, And Sexual Hysteria". University of California Press; Reprint edition, 1996.
  • Loftus, Elizabeth and Ketcham, Katherine. "The Myth of Repressed Memory: False Memories and Allegations of Sexual Abuse". St. Martin's Griffin, 1st St. Martin's Griffin ed edition, 1996.
  • Lilienfeld, Scott. "Psychological treatments that cause harm." Perspectives on Psychological Science, Volume 2(1), pp. 53–70, 2007.
  • Knopp, Fay Honey (1996). A Primer on the Complexities of Traumatic Memory of Childhood Sexual Abuse – A Psychobiological Approach. Brandon, VT: Safer Society Press. ISBN 1-884444-20-2.
  • Pope, Kenneth S., KS (1996). "Memory, Abuse, & Science: Questioning Claims about the False Memory Syndrome Epidemic". American Psychologist. 51 (9): 957–974. doi:10.1037/0003-066X.51.9.957. PMID 8819364. Retrieved 2007-12-28.
  • Pendergrast, Mark, "Victims of Memory." (1993) ISBN 0-942679-18-0